System and method for processing a multiple prescription order

ABSTRACT

An ordering system that fills a prescription order is described. The ordering system comprises a Graphical User Interface, a transactional component, a production facility, a detailed labeling component, and a distribution point. The GUI is configured to receive at least one prescription order that is associated with a particular patient wherein the at least one prescription order comprises at least two different medications. The transactional component charges for processing the prescription order. The production facility receives the prescription order and fills a plurality of multiple prescription containers. Each of the multiple prescription containers is associated with a prescribed time interval determined by the prescription order, and each multiple prescription container comprises the different medications that are to be consumed at the prescribed time interval. The detailed labeling component is associated with the multiple prescription containers, and the detailed labeling component is configured to generate a detailed label that provides a plurality of medical information regarding the medications to the patient. The detailed label is combined with the multiple prescription containers.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application claims the benefit under 35 U.S.C. 119(e) of U.S.Provisional Application No. 60/795,370, filed Apr. 26, 2006, which isincorporated herein by reference in its entirety.

This application claims the benefit under 35 U.S.C. 119(e) of U.S.Provisional Application No. 60/795,446, filed Apr. 26, 2006, which isincorporated herein by reference in its entirety.

This application claims the benefit under 35 U.S.C. 119(e) of U.S.Provisional Application No. 60/795,413, filed Apr. 26, 2006, which isincorporated herein by reference in its entirety.

This application is a continuation-in-part of patent application ofpatent application Ser. No. 11/241,783, filed Sep. 30, 2005, which isincorporated herein by reference in its entirety.

BACKGROUND

1. Field

The description relates to the field of tablet packaging and deliverysystems. More particularly, the description relates to ordering andfilling a prescription comprising a plurality of different medications.

2. Description of Related Art

One of the major problems in the taking of prescribed daily medicationsemanates from the fact that, in many instances the patient has to takemore than one medication in the form of pills or tablets. A principalconcern is determining whether all medications have been taken incompliance with the prescribed daily regimen. Many times this concern iscompounded by the requirement that portions of the various medicationsmust be taken at different times during the day.

The fear of taking improper dosages of prescribed medication can beparticularly acute in the elderly, many of whom have some degree ofmental dementia and can easily be confused as to whether they have takenall of their medications at the correct time. Some patients, withcurtailed mental capabilities, have difficulty just in sorting out themedications preparatory to taking them, let alone taking the medicationin a timely manner. Providing medications to disabled and/orincapacitated individuals can also be a problem for caregivers,particularly those in hospitals and assisted living facilities where onecaregiver may oversee the medication of many patients.

Thus, there is a need for a positive delivery system and tablet packageassembly for the delivery of multi-prescription dosages. A tabletpackaging and delivery system that could decrease the possibility ofhuman error and provide an easy to use set-up for the correct selectionand delivery of multi-tablet/multi-time medications would be welcomed bythe pharmaceutical and medical communities.

There is also a need for a tablet delivery system that provides evidencethat the prescriptions were actually taken or administered asprescribed. Such a system would be an efficient way for any patient totake such multi-dosages but it would be especially beneficial for apatient of limited mental capacity as well as to caregivers in thehospital setting.

There is also a need for a tablet assembly and delivery system forvitamin supplements. Vitamin supplements are also often used in the samemanner as many prescribed drug regiments with many of the same problemsand inconveniences. Therefore a delivery system that addresses the needsof multi-prescription administration also contains many benefits for,and can be applied to, the vitamin and herbal supplement market.

One solution to the problem of taking multiple medications is topre-package the multiple medications so that users can take thepre-packaged medications at a predetermined time. Generally, thesemethods of pre-packaging medications are targeted to patients that maylack maturity and/or mental capacity to take the correct medications atthe correct time. For example, young children in a school or campground,and elderly individuals in elder care centers, or nursing homes aretarget groups for the pre-packaging of medications. Some of thepre-packaged medications are placed in a small plastic bag, which may beeasily misplaced and is not child proof. Other pre-packaged medicationsare placed in sealed cups that are difficult to open and that can not bemade child proof.

Additionally, the pre-packaging of multiple medications is also limitedby distributing pre-packaged medications to a limited geographicallocation. For example, the pre-packaging of multiple medications is onlyprovided in hospitals, medical institutions, campgrounds, or schools.Thus, the geographic limitation makes it difficult to effectivelydistribute the pre-packaged medications to a broad group of people overa broad geographic area.

Furthermore, pre-packaged multiple medications are difficult to orderbecause the pre-packaging of multiple medications is a specialty servicethat has not been automated. The manual processing of prescriptionorders is expensive because the process lacks automation. Therefore,there is a need for an automated ordering system and process that issimple and cost effective for a patient or a pharmacist to use. Anautomated system and method for receiving orders would make itsubstantially easier to process a multiple prescription order, whichwould in turn make the process much more cost effective.

Further still, the current pre-packaging of multiple medications doesnot provide a simplified labeling technique that permits a caregiver toefficiently monitor the dispensing of different medications atpre-determined intervals. For example, the current techniques fordispensing medications do not provide summaries of the medications beingtaken by a patient. Additionally, although a pharmacist may provideinformation about drug interactions, there is no simple and clear recordthat describes drug interactions in a patient-friendly manner.

Further yet, there is a need for an efficient production facility thatefficiently processes and inspects the pre-packaged multipleprescription containers. Automated processing and inspection techniquescan dramatically improve efficiencies and minimize improper packaging orlabeling. Thus, by automating the tablet processing and inspectionprocess a more cost effective solution for the pre-packaging of multipleprescriptions can be obtained.

The following description provides a convenient and efficient way forpatients, pharmacists, and physicians to order multi-drug prescriptionsfrom a pharmaceutical dispensing system which produces multi-doseprescriptions. This description allows for prescriptions to be placedfrom a computer, telephone, facsimile, mail, or any combination thereof.

SUMMARY

An ordering system that fills a prescription order is described. Theordering system comprises a Graphical User Interface, a transactionalcomponent, a production facility, a detailed labeling component, and adistribution point. The GUI is configured to receive at least oneprescription order that is associated with a particular patient whereinthe at least one prescription order comprises at least two differentmedications. The transactional component charges for processing theprescription order. The production facility receives the prescriptionorder and fills a plurality of multiple prescription containers. Each ofthe multiple prescription containers is associated with a prescribedtime interval determined by the prescription order, and each multipleprescription container comprises the different medications that are tobe consumed at the prescribed time interval. The detailed labelingcomponent is associated with the multiple prescription containers, andthe detailed labeling component is configured to generate a detailedlabel that provides a plurality of medical information regarding themedications to the patient. The detailed label is then combined with themultiple prescription container.

Additionally, a means for receiving the multiple prescription order thatis associated with the patient is described. By way of example and notof limitation, the means for receiving the multiple prescription orderincludes from a networked computer, a telephone order, a mail order, ascanned order, or any combination thereof.

A method for processing a multiple prescription order that comprises aplurality of different medications is also described. The methodcomprises receiving a multiple prescription order that is associatedwith a particular patient. The multiple prescription order comprises atleast two different medications that are to be consumed at the sameprescribed interval determined by the multiple prescription order. Themethod also comprises initiating a transaction that charges for fillingthe multiple prescription order. The multiple prescription containersare filled so that each multiple prescription is associated with aprescribed time interval determined by the prescription order, and eachmultiple prescription container comprises the different medications thatare to be consumed at the prescribed time interval. A detailed label isgenerated that comprises medical information regarding the medicationsto the particular patient. The multiple prescription containers and thedetailed label are then combined for the particular patient.

DRAWINGS

The present invention will be more fully understood by reference to thefollowing drawings which are for illustrative, not limiting, purposes.

FIG. 1 is an illustrative flowchart showing a method for receiving andprocessing at least one prescription order.

FIG. 2 is an illustrative high-level flowchart of a production facilityprocessing a prescription order.

FIG. 3 is a more detailed flowchart showing how a prescription order isprocessed within the production facility.

FIG. 4 shows an illustrative graphical user interface (GUI) forreceiving a prescription order.

FIG. 5 shows an illustrative detailed label that is generated at theproduction facility.

FIG. 6 is an illustrative summary label that may be generated at theproduction facility.

FIG. 7 is an alternative summary label that may be generated at theproduction facility.

FIG. 8 is a block diagram of an illustrative system that receives aprescription order via the Internet.

FIG. 9 is a block diagram of a client server architecture thatcommunicates the filling of the multiple prescription order to aproduction facility.

FIG. 10 is a flowchart showing a prescription validation process.

FIG. 11 is a flowchart showing a transaction being processed.

FIG. 12 is a diagram showing an illustrative multiple prescriptioncontainer having various depths.

FIG. 13A and FIG. 13B shows a top view and a bottom view of a group ofprescription containers.

FIG. 13C shows an alternative embodiment of the multiple prescriptioncontainer assembly.

FIG. 14 is an exploded isometric view of the sleeve for the multipleprescription container assembly before it is slidably coupled to thesealed containers.

FIG. 15 is an isometric view of the sealed containers slidably coupledto the sleeve for sequential dispensing.

FIG. 16 is an exploded view of an illustrative child protective featurefor a multiple prescription container assembly.

FIG. 17 is an illustrative embodiment of a plurality of dispensingsleeves that are connected to one another.

FIG. 18 shows illustrative notches of interlocking elements for anillustrative dispensing, sleeve.

FIG. 19 is an illustrative top view of multiple sleeves coupled to oneanother and depicting the sequential dispensing of a container.

FIG. 20A shows a top view of a second illustrative embodiment of amultiple prescription container assembly.

FIG. 20B is a bottom view of the dispensing sleeve housing the roundedcontainers described in FIG. 20A.

FIG. 21A and FIG. 21B show the dispensing sleeve housing the roundedcontainers having a first lid and a cover.

FIG. 22 shows an alternative sleeve that does not include a rim.

FIGS. 23A and 23B show two separate perspective views of a plurality ofstacked rounded multiple prescription container assemblies.

FIG. 24A is a perspective view of a third embodiment of a multipleprescription container assembly that is circular.

FIG. 24B shows the container of FIG. 24A with the having markings ofprinted information thereon.

FIG. 25 provides a more detailed view of a patient or caregiver removingthe lid from the circular multiple prescription container in FIGS. 24Aand 24B.

FIG. 26 is a flowchart showing a method for dispensing tablets whichutilizes a secondary package or sleeve for housing the primary packageor sealed multiple prescription container.

FIG. 27 is a flowchart showing the processes and systems used by aproduction facility to fill a prescription order.

FIG. 28 is a top view of an illustrative manufacturing floor that fillsthe prescription order.

FIG. 29 is an isometric view of an illustrative tabletop system that canalso fill the prescription order.

FIG. 30 is a block diagram of an illustrative order processing system.

FIG. 31 is a flowchart of an illustrative container selection process.

FIG. 32 is a block diagram of an illustrative pill management system.

FIG. 33 is a side view of an illustrative refill module.

FIG. 34 is a flowchart of an illustrative container filling process.

FIG. 35 is an isometric view of an illustrative tabletop systemincluding order processing, pill management, container selection,container inspection, and container filling.

FIG. 36 is a flowchart showing the inspection of filled multipleprescription containers.

FIG. 37 is a flowchart showing an illustrative lid assembly process.

FIG. 38 is a flowchart of an illustrative sleeve or secondary packageassembly process.

FIG. 39 is a flowchart of an illustrative inspection for of the sleeveor secondary package assembly process.

FIG. 40 is an isometric view of the illustrative tabletop system withfilled container inspection, lid assembly, sleeve assembly, andinspection of sealed containers.

FIG. 41 is a block diagram of a tote assembly system.

FIG. 42 is a block diagram showing the combining of the tote and sealedmultiple prescription containers.

DESCRIPTION

Before the present assembly, apparatus and methods are described, it isto be understood that this invention is not limited to particularembodiments described, as such may, of course, vary. It is also to beunderstood that the terminology used herein is for the purpose ofdescribing particular embodiments only, and is not intended to belimiting, since the scope of the present invention will be limited onlyby the appended claims. Unless defined otherwise, all technical andscientific terms used herein have the same meaning as commonlyunderstood by one of ordinary skill in the art to which this inventionbelongs.

Referring to FIG. 1 there is shown an illustrative flowchart showing ageneral method for receiving and processing at least one prescriptionorder. A prescription generally comprises at least one medication thatis dispensed as a tablet. The method may be initiated with a consumerhaving a doctor's prescription at block 12. By way of example and not oflimitation, a consumer may be a patient or caregiver. A consumer mayalso be a person or entity authorized to conduct a transaction for atleast one product that includes prescription medication,over-the-counter medication, vitamins, supplements, herbs, oils, or anyother such substances. A prescription may not be required for processinga prescription order. For example, a prescription may not required fordispensing certain tablets such as vitamins, herbs, oils,over-the-counter medications, supplements, and other such products.Additionally, in some jurisdictions a prescription for dispensingmedications may not be required.

A direct order may then be placed at decision diamond 14. A “directorder” is an order that is placed by a medical professional such as amedical doctor or pharmacist. By way of example and not of limitation,the order is placed using a graphical user interface (GUI) resident on abrowser running on a computer that is in communication with the Internetby a pharmacist, patient or caregiver.

If the direct order requires a pharmacist, the method proceeds to block16 where a pharmacist places the order for the appropriate medications.After block 16, the method proceeds to block 17 where the pharmacist maybe prompted for at least one packaging option. A variety of differentpackaging options may be provided to the pharmacist. The packagingoptions comprise multiple prescription containers as described infurther detail below. Alternatively, as described by block 18, the ordermay also be placed by telephone, fax, mail, scanned order, or any othersuch means for placing an order that does not employ a graphical userinterface.

If the prescription order can be placed without the need for apharmacist, the method proceeds to block 19 where the user may beprompted to select at least one packaging option. Generally, the user iseither a patient or a caregiver. A variety of packaging options may beprovided to the caregiver or consumer, and illustrative packagingoptions are described herein. As described above, the order may also beplaced on-line, by telephone, fax, mail, or other such means forcommunicating the order.

After receiving an order, the method proceeds to decision diamond 22where a decision about how to process a multiple prescription order ismade. A multiple prescription order or “Multi-Script” order is an orderthat comprises at least two tablets or medications comprising a firsttablet or medication that is different from a second tablet ormedication. Generally, a multiple prescription order requires takingmultiple tablets or medications at approximately the same time asprescribed, which is also referred to as a prescribed time interval. Ifthe order is not a multiple prescription order, the method proceeds toblock 24, in which a single vial is prepared with a simple label.However, if the order is a multiple prescription order, the methodproceeds to block 26 where a multiple prescription container is selectedand the appropriate label is generated. At block 28, either the simplevial or each of the multiple prescription containers is filled.

At block 30, a detailed label comprising a plurality of writteninformation may also be generated. This plurality of information mayinclude information related to each medication, summary informationabout each medication, appropriate container labeling, some summaryinformation about the patient, a drug interaction report, or any suchcombination thereof. The drug interaction report may provide informationto help individuals properly take the prescribed medication. The druginteraction report includes information about the various druginteractions that may be associated with each prescription. For example,certain foods may interact with a particular prescription. Additionally,there may be a group of particular drugs that may interact with theprescription, and this information may not be readily available to thepatient or the patient's caregiver. The drug interaction report may beused to help identify foods, medications, vitamins, supplements, or anycombination thereof that may interact with the patient's filledprescription. The written information may also include a summary of themedications being taken as described in further detail below.

The method then proceeds to decision diamond 32 where a decision is madeabout how to distribute the combined filled prescription order anddetailed label. If the filled order is to be distributed to a pharmacist36, the pharmacist 36 provides the filled prescription to the consumer34 that may be a patient or caregiver. Alternatively, the filledprescription may be distributed directly to the particular consumer 34by shipping to the consumer or having the consumer pick-up the filledprescription order.

Referring to FIG. 2 there is shown an illustrative high-level flowchartof a production facility processing a prescription order. Recall, FIG. 1describes a general method for receiving and processing a prescriptionorder. FIG. 2 provides an illustrative flowchart from the perspective ofa production facility processing a verified prescription order. Themethod is initiated at block 52 where the production facility receives averified prescription order. A verified prescription order is an orderthat has been “verified” according to local jurisdictional requirements,insurance requirements, co-pay requirements, transactional requirements,or a combination thereof. For example, in certain jurisdictions averified prescription order may require a medical doctor's signature,and may have to be processed by a pharmacist. Additionally, a verifiedorder may require approval from an insurance company, Medicare or anysuch entity. In other jurisdictions, the only form of verification mayinclude confirming that funds are available from the particularindividual or organization charged, which satisfies transactionalrequirements. By way of example and not of limitation, verification ofthe availability of funds may include simply receiving authorization tocharge a credit card and confirming that the credit card is a validcard.

The method then proceeds to decision diamond 54 where a determination ismade if the verified order was a multiple prescription order. If theorder is not a multiple prescription order, the method proceeds to block56 where a single prescription order is processed, and then subsequentlythe filled prescription is sent or provided to a pharmacy or customer asshown in block 64, and described herein.

If the verified prescription order is a multiple prescription order, themethod proceeds to block 58 where the facility determines the fillingprocedure to use. The filling procedure will depend on a host ofvariables such as the type of user selectable packaging. The method thenproceeds to block 60 where the production facility inspects the tabletsthat have been placed in the multiple prescription containers. The typeof inspection depends on the particular design of the productionfacility. For example, the inspection may be conducted by tabletcounters, RFID counters, by using X-ray or near IR technology, visualrobotic inspection, weighing the containers or other such technologycapable of inspecting the multiple prescription containers that isdescribed herein and that would readily suggest themselves to those ofordinary skill in the art.

After completing the inspection, the production facility generates thedetailed label and other labels having the plurality of writteninformation shown in block 62. The written information may also comprisepackaging information. The written information may comprise informationabout each substance, appropriate labeling, summary information, a druginteraction report, or a combination thereof. At block 64, the filledprescription order and the detailed label are combined and thispatient-specific combination is then sent or distributed to a designatedentity or individual including, but not limited to, the patient, thecaregiver, the pharmacist, the user, the customer, or the consumer.

Referring to FIG. 3 there is shown a more detailed flowchart of amultiple prescription order being processed within the productionfacility. A more detailed view of block 58 is shown in FIG. 3, whichincludes a description of the user selectable packaging that may bedetermined by the user, consumer, patient, caregiver, or pharmacist. Inthe illustrative embodiment, a variety of different packaging optionsare presented. By way of example and not of limitation, the verifiedprescription order may include 10 tablets taken three times per day,which requires mid-size multiple prescription containers. In anotherexample, the patient and/or user may desire a package design that may beeasily used by a caregiver. In yet another illustrative example, thepatient may want a package design that is small and portable such as theplastic pouches that are filled with the McKesson PACMED automatedpackaging system. Based on the patients needs, the appropriate userselectable options may be provided. Thus, an individual requesting thefilling of a multiple prescription order will provide sufficientinformation so that appropriately sized containers or packages areidentified as represented by block 66. The containers may be stacked. Incertain embodiments, the containers may be placed on a conveyer beltsystem which allows the containers to travel along the conveyor systemto the designated filler module containing the correct medications. Thecontainers may also be placed on trays configured to hold a plurality ofcontainers and situated on a conveyor system which allows the fillingfacility to track the position of each container within the fillingfacility.

Additionally, sufficient information is provided so that the appropriatetablets can be associated with the appropriate multiple prescriptioncontainers at the appropriate dosing times as represented by block 68.The method then proceeds to block 70 where each of the multipleprescription containers is filled with the appropriate tablets. A moredetailed explanation of the method for filling each of the multipleprescription containers is described in further detail below.

A more detailed view of block 60 where the production facility inspectsthe containers is also described. The inspection may be conducted eitherbefore the multiple prescription containers are sealed as represented byblock 72. A label may then be printed on lidstock 74 and the multipleprescription container may then be sealed 76 with the labeled lidstock.Additionally, the medications within the multiple prescription containermay be inspected after the multiple prescription containers are sealedas represented by block 78. Thus, the filled multiple prescriptioncontainer may be inspected either before the multiple prescriptioncontainers is sealed, after the multiple prescription container issealed, or both.

A more detailed view of block 62 is also presented in FIG. 3 where afterthe inspection 60, the production facility generates the detailed labelshaving the plurality of written information that is patient specific.Additional labeling written information may include packaginginformation. The detailed label having the written information maycomprise information about each substance or medication that isdescribed in the multiple prescription tote 80. The written informationmay also include summary information about the various medications andis represented by block 82. A drug interaction report may also begenerated at block 84.

Referring to FIG. 4 there is shown an illustrative graphical userinterface (GUI) for receiving on-line orders that include at least oneprescription order that is associated with a particular patient. Theillustrative GUI 100 embodiment is configured to receive a prescriptionorder, a direct order, or any such order related to medications,vitamins, supplements, herbs, oils, or any such substance that areassociated with a particular patient. The illustrative GUI 100 includesfields for the name of the patient 102 and the patient's address 104.Additional information about the individual placing the order may alsobe requested, such as the individual's telephone number 106 and e-mailaddress 108. Information about the patient such as date of birth 110,height 112, weight 114, and sex 116 can also provided to theillustrative GUI 100. The user can input information about the patient'sparticular medical condition 120, information about the patient's doctor122, allergies 124, and current medications 126 being taken by thepatient.

Furthermore, the user may provide specific ordering options such asinstructing about the type of user selectable packaging. For example, aplurality of single packages 128 may be requested for multiplemedications. Also, a multiple prescription package 130 or “multi-script”package may be requested. The multiple prescription package may includea variety of user selectable options such as type of package, size ofpackage, and child resistant packaging. The type of package may includea sleeved package or a circular package as described below.Alternatively, the packaging may employ other packaging techniques suchas grid packaging or the use of plastic bags also referred to a“pouches.” The size of package may also vary and may come in threedifferent sizes: travel (small), notebook (medium), and companion(large).

Data fields are also provided for identifying the requested medications132 that include a description of the product 134, the dosage 136, thequantity 138, and the type of drug 140. The type of drug 140 may includeinformation about whether the drug is generic or name brand. If theproduct is available, the on-line ordering system may then provide aprice 142 for the product. A sub-total 144 is then provided, andshipping costs 146 are identified if applicable. Note, the GUI may alsosupport customer pick-up at a local pharmacy. A final order total 148 isthen presented to the user.

A transactional component that charges for processing the prescriptionis also provided. By way of example and not of limitation, the patientmay then provide a card 150 such as a credit card, a debit card or anyother such information for conducting an on-line transaction; the name,the card number, the type of card and the expiration date of the cardare requested in the illustrative embodiment.

Referring to FIG. 5 there is shown an illustrative detailed label thatis generated by the production facility and combined with the multipleprescription containers. By way of example and not of limitation, theillustrative label 160 may contain printed information that is relatedto each medication such as summary information about each medication,summary information about the patient, the name of the patient, apicture of the patient, pictures of the first tablet and the secondtablet that are to scale, a drug interaction description, or anycombination thereof. The illustrative label may be folded andconveniently coupled to a multiple prescription container. For example,the illustrative label 160 can be coupled to a dispensing sleeve, whichis described in further detail below.

The illustrative label 160 includes a picture or image 162 of theparticular patient, and the patient specific information 164 such asname, address, and telephone number of the patient. Furthermore, theremay be additional unique information about the patient printed on thelabel, such as the doctor's name 166 and telephone number, and healthinsurance information. The label 160 also includes pictures 168 of thetablets that have been prescribed. Additionally, there may be aparticular description 170 about each tablet on the folded label thatmay include manufacturer's latest labeling information, a summary ofexpected side effects 172, and a short description of possible druginteractions 174. This information may be presented in a manner similarto the Physician's Desk Reference, which includes a color picture of thepill with summary information about each pill. Additionally, informationabout how to administer the medication may be provided; this informationmay be used by a caregiver, to help in dispensing the appropriatemedications.

Referring to FIG. 6 and FIG. 7 there are shown two different summarylabels that may also be generated at the production facility. In FIG. 6,the summary label 180 may be conveniently configured to fit into awallet, or may be configured to be attached to the back of an insurancecard or driver's license. The illustrative label 180 comprises a picture182 of the patient, pictures of the first tablet and the second tabletthat are to scale, his name and address 184, and other such information.Information about the prescriptions and dosages may be provided withinformation about the patient's doctors and other health information.

In FIG. 7 an alternative summary label 190 is shown that includes thepatient's name, name of the patient's doctors, insurance, and insurancenumber. Additionally, summary label 190 includes information about thepatient's allergies 192, the patient's prescriptions 194, and a warningabout possible drug interactions 196. The particular summary label maybe dependent on the patient's condition, the patient's caregiver, aphysician's recommendation, statutory requirements, or any other suchentity charged with assisting the patient.

FIG. 1 through FIG. 7 provide an overview of the systems and methods forprocessing a multiple prescription order. In the illustrative embodimentan emphasis was placed on performing an on-line transaction. The on-linesystems and methods for processing the prescription order are describedin further detail in FIG. 8 to FIG. 12.

Referring to FIG. 8 there is shown a block diagram of an illustrativesystem 200 configured to receive a prescription order via the Internet.The illustrative patient's personal computer (PC) or “client” 202displays the illustrative GUI 100. The illustrative client 202 iscommunicatively coupled to the Internet 204. By way of example and notof limitation, a standard off-the-shelf personal computer and operatingsystem would operate as a client.

The PC 202 is configured to remotely communicate with an online orderingserver 206. By way of example and not of limitation, the online server206 is behind a firewall and is part of a secure local area network(LAN) 208 located at a production facility. Generally, the productionfacility is configured to generate a filled multiple prescription order.The secure LAN also comprises a production server 210. In theillustrative example of FIG. 8, the production server 210 and onlineserver 206 are both housed in the production facility. An alternativeembodiment in which the online server is located in a separate locationis described below in FIG. 9.

The online ordering server 206 is communicatively coupled to theproduction server 210. The online ordering server 206 is configured tocommunicate with the user and/or clients that are placing the on-lineorder. The ordering server 206 also contains the hardware and softwarenecessary for addressing queries about inventory in the productionfacility. The online server 206 may be configured to query the userabout a particular prescription, about health insurance, and otherpertinent information. The online server 206 may comprise software andhardware that permits the client 202 to pull up notes, research theprescribed medication(s), research side effects and drug interactionswith other medications, vitamins, foods, and other such information thatwould help the patient properly consume the products ordered by thepatient.

The production server 210 controls the processing of the multipleprescription orders at the production facility that generates containershaving a plurality of different tablets in each container. Theillustrative production server 210 comprises a system database 214 thatstores information about the products available at the productionfacility such as prescription medication, over-the-counter medication,vitamins, supplements, herbs, oils, or other such substances.Additionally, the system database 214 may include historicalprescription information that is associated with the patient, so thatthe user may access the multiple prescription order at a later time forordering refills. In one illustrative example, the production servercontains and maintains all the information to control the productionfacility. The production server 210 may be configured with managementsoftware that manages all the filling, inspection, printing, sealing,order tracking, and tablet assembly traffic control functions.

While placing an order, the online ordering server 206 may requestinformation from a medical provider server 216 or provide information tothe medical provider. For example, a medical provider such as a medicaldoctor or nurse can confirm that a specific medication has been orderedand will be administered in a particular manner. Additionally, themedical provider may also include notes for the patient on how themedicine should be taken, and this information may be printed by theproduction facility and associated with the patient's on-line order.Additionally, historical prescription order information may also bestored on the medical provider server 216.

The online ordering server 206 may also request information on theaccuracy or changes in the end user's medical insurance from theinsurance provider server 218. The online ordering server 216 may alsorequest information from the pharmaceutical company server 220 aboutcertain prescribed medications and updated information that pertains tothe prescribed medications. These queries to the pharmaceutical companyserver 220 may occur during the online ordering process initiated by theend user or at various times when updating the system database.Additional queries may be made to government agencies, private medicalfacilities, on-line search engines, websites, databases, or anycombination thereof.

The online ordering server 206 and/or the production facility server 210may also be communicatively connected to an updated medical informationserver 222 via the Internet or a secure wide area network connection.The updated medical information server 222 may be a private orgovernment maintained server with compiled updated information on thevarious drugs stored in the production facility. The updated informationmay comprise new warnings on drug interactions, updated expirationdates, toxicity information and the like. The updated information iscommunicated to the second labeling component. This information isvaluable in assuring the multi-drug prescriptions are effective andsafe.

Additionally, the online ordering server 206 comprises a transactionalcomponent 212 that processes the user's financial information. Thetransactional component enables the online ordering server 206 to obtainpertinent information from the user, healthcare provider and the user'sinsurance company to verify the prescription. The transactionalcomponent is also configured to carry out the payment of the order andinforms the user if the prescription has been processed or if thefinancial transaction has failed.

Referring to FIG. 9 there is shown a block diagram of a simplifiedclient server architecture in which the multiple prescription packagingis sourced to the production facility. In this embodiment, the userrequests a prescription refill from a client 230 computer that displaysa GUI viewed using a standard web browser 232, and the client 230 iscommunicatively connected to a wide area network (WAN) such as theInternet 234. The client 230 then proceeds to access the web site thatdisplays the illustrative GUI 100. The client 230 computer may be aportable terminal, a notebook computer, a hand-held personal digitalassistant, or other such device that can be networked and can processbrowser software. It shall be appreciated by those skilled in the artthat the end user of the GUI may be a patient, parent, caregiver,physician, hospital personnel, or any other person that has permissionfrom the patient to access their prescription data.

The client 232 then proceeds to communicate with the secure LAN 236 thatcomprises a production server 238 and an online server 240. Theproduction server 238 is associated with managing the inventory in theproduction facility and comprises an inventory database module 242 thatdetermines if the production facility can satisfy the client'sprescription order.

The online server 240 may be located in a variety of different placessuch as a separate on-line pharmacy, a physician's website, a healthcareprovider's website, a health insurance website, a school, a university,or any other such entity that out-sources the multiple prescriptionpackaging to the production facility described herein. In theillustrative embodiment, the online server 240 comprises a web serverinventory lookup module 244 that is operatively coupled to the inventorydatabase module 242 and receives updates regarding the productionfacility's ability to satisfy the client's request.

In operation, the client 230 may access the production server 238directly or through the illustrative online server 240 that may beassociated with a separate on-line pharmacy, a physician, a health careprovider, a health insurance provider, a school, a university or anyother such entity. Additionally, physicians involved in the patient'scare may utilize the Internet to generate a new prescription for thepatient, or modify a previous prescription that may be stored on theproduction server 238.

Patient confidentiality may be preserved by using encryption technologyand by requiring strong authentication. Using encryption technology suchas Secure Sockets Layer (SSL) and Public Key Infrastructure (PKI),communications across the Internet are kept secure. Illustrativeembodiments may use available encryption tools such as Pretty GoodPrivacy (PGP), OpenPGP (the IETF's RFC 2440) and other available PKIencryption standards. Information stored on databases and servers mayalso be encrypted. Strong authentication may be obtained by asking theuser for one or more unique identifiers such as date of birth (DOB),unique IP address, last 4 digits of a social security number, username,password, or any other such unique identifier.

Once the client 230 has been authenticated, the client is able to placea multiple prescription order using the illustrative graphic userinterface (GUI) 100. In one illustrative example, a local pharmacist'son-line server communicates with the production server 238 and theinventory database 242. The pharmacist's on-line server makes a requestto determine whether the production facility can satisfy thepharmacist's order. The inventory database 242 is accessed to determineif the prescription order may be filled. Once the pharmacist's onlineserver has received confirmation that the prescription order can befilled, the online server relays this information back to the clientscomputer via the Internet.

By way of example and not of limitation, the illustrative productionserver 238 comprises software to access the drug interaction database todetermine if there may be possible interactions between the prescribedtablets stored. The production server 238 also communicates the order toproduction facility computers which control the various systems andsubsystems involved in producing the multiple prescription containers,including printers for labeling the lidstock on each individually sealedcontainer with medication instructions such as date and time to take thetablets in each individual container. The production server 238 may alsocommunicate to production facility computers which are connected to aprinter for generating labels with patient specific information, druginformation and expiration date(s) for the medication stored within theindividual containers. It should be noted that vitamins and herbalsupplements may also be stored together with prescription drugs.

Referring now to FIG. 10 there is shown a flow chart of an illustrativeprescription validation process 250. The prescription validation processis initiated at block 252 where user information and prescription orderinformation is provided to either illustrative online server 206 orillustrative online server 240. The method then proceeds to block 254where user information is matched against the prescription orderinformation.

At decision diamond 256, the prescription order is validated if userinformation and prescription information also match information storedon the online server. Additionally, the prescription may be validatedafter the online server communicates with another server such as themedical provider's server. Alternatively, the prescription order may besimply validated if the user information matches the prescriptioninformation. For example, if either the patient information or theprescription order information does not match the information stored onthe online server, then the method proceeds to block 258 where the userreceives a failed prescription notification. By way of example and notof limitation, an explanation may be provided by the online server suchas the patient's personal information is incorrect, or the prescriptionhas expired, or a physician's examination is required before filling theorder, or the patient needs to wait a couple more days before theprescription order may be filled. Those skilled in the art shallappreciate that the user information and prescription information mayrequire being input more than once before a failed notification isprovided to the user.

If the prescription order is validated by having the patient informationmatch the prescription order information, the method proceeds todecision diamond 260 and determines if the prescription order is coveredby the user's health insurance. As with prescription information, theinsurance information for a specific user may be stored on a databaseassociated with the online server of the production facility or thehealth insurance company's server may be queried by the online servervia secured network about the accuracy of the user's insurance policysuch as determining if the insured's policy is up-to-date. Additionally,information about the medications covered by the specific insurer may bequeried, co-payment information, prescription drug policy, secondaryinsurance information, or any other such pertinent insuranceinformation.

If the prescription order is paid for partially or fully by the user'shealth insurance, the method proceeds to process the transaction atblock 262. A more detailed view of the transaction process 262 isprovided below in FIG. 11.

The prescription order may not be covered, or may only be partiallycovered by the user's insurance and so the method proceeds to decisiondiamond 264 where alternative payment methods can be provided. By way ofexample and not of limitation, alternative payment methods include VISAtransactions, debit card transactions, ATM transactions, PayPaltransactions, Electronic Fund Transfers, and other such methods forperforming on-line transactions. If the alternative payment method canbe processed, the method proceeds to block 262 where the transaction isprocessed. However, if the alternative payment method can not beeffectively processed, the method proceeds to block 266 where the userreceives a failed payment notification.

Referring to FIG. 11 there is shown an illustrative method forprocessing an illustrative transaction in block 262. At block 262, theonline transaction is processed, which enables the online server to sendconfirmation that the prescription order has been filled. The method isinitiated at decision diamond 270 where a determination is madeconcerning whether the transaction is valid. A transaction is valid whenthe information for payment of the multiple prescription order has beenauthenticated.

If a determination is made that the transaction is not a validtransaction, the method proceeds to block 272 where a log of either theprescription complication, transaction complication, or both isrecorded. The prescription complication may arise because the productionfacility can not satisfy the order. The transactional complication maybe caused by the payment method not being authenticated.

If the transaction is valid, the method proceeds to block 274 where thelog indicates that prescription has been filled. The processing of theonline transaction may also comprise confirming that the drugs requestedare in the production facility's inventory and ready for dispensing.Inventory information may be stored on either the online server or theproduction server or on any other communicatively connected database orcomputer associated to the transaction component of the online server.

After determining whether the transaction is valid, the method proceedsto block 276 where the user receives a completed or failed transactionnotification. In the illustrative example, the failed transactionnotification comprises information explaining to the user that thetransaction failed because an invalid credit card number was provided.If the transaction is determined to be valid, the prescription is loggedas filled and the user receives a prescription completed notificationvia the network connection between the online server and the user'scomputer.

A multiple prescription container assembly comprises a plurality ofcontainers that are configured to receive a plurality of medications,even though a single prescription may reside within an individualcontainer. The multiple prescription container assembly is configured todispense a plurality of different tablets to a particular individual.The illustrative multiple prescription container assembly comprises aplurality of containers made from a single piece of moldable materialwherein the containers are ordered to permit sequential dispensing. Atleast one of the containers is configured to receive a first tabletassociated with a first medication, and a second tablet associated witha second medication that is different from the first medication; thefirst tablet and the second tablet to be taken at approximately the sametime by the particular patient, which is also referred to as aprescribed interval. By way of example and not of limitation, there is aflange on the top surface of each of the containers. The multipleprescription container assembly also comprises a plurality of lids, thelidstock configured to interface with the flange of each integratedcontainer. Each lid seals each of the containers and has a surface thatreceives a printable indicia with specific information regarding theparticular individual. Additionally, the multiple prescription assemblycomprises a sleeve or “secondary package” that is coupled to theplurality of sealed containers wherein the sleeve is configured topermit sequential dispensing for each of the sealed containers.

Referring to FIG. 12 there is shown a first embodiment of a plurality ofillustrative containers 300 having various depths that are configured toreceive a plurality of tablets. The three individual containers 302,304, and 306 are identical except for the depth of the cavity of thecontainers. The flanged top surface 308 and the bottom surface 310 arethe same on all three containers shown in FIG. 12, and are configured tomake the various sizes of containers stackable. Each of the containersfurther comprises a breakaway tab 312 on the sealing flange 308. The tabprovides a handhold for easy opening and peeling back the lid from thecontainer. Each of the containers also comprises a plurality ofindentations 314 on at least one edge of the flanged top surface 308.

Each of the illustrative embodiments 302, 304 and 306 is an element ofthe multiple prescription container that stores tablets. It should benoted that a “tablet” is a small article which is swallowed. A tabletincludes pills, capsules, and caplets. A tablet may also be a solid doseof medication or supplement, i.e. pill, tablet, capsule or a liquid doseof medication, e.g. Vitamin E or (cod liver oil) provided in a capsule.In general, a tablet may be a prescription medication, supplements, orany other such article that is intended to be ingested to improve auser's health or wellbeing. A tablet may also be medication in the formof a suppository, or vitamins, herbal supplements and the like.

Referring to FIG. 13A and FIG. 13B there is shown a top view and abottom view of a plurality of illustrative sealed multiple prescriptioncontainers 320. Note, the sealed multiple prescription containers mayalso be referred to as a “primary package.” In FIG. 13A and FIG. 13B,both views reflect that one of the containers 321 comprises a taperedbody container 322 with a cavity for holding a plurality of tablets. Thetapered body container 322 allows a plurality of individual containersto be stacked for storage. Each container 320 has a flanged top surface324 configured to be sealed with a lid 326. In certain embodiments, thetablet assembly may require individual containers that vary in depthdepending on the amount of tablets needed to be dispensed at a specifictime. While the depth of the individual containers may vary, the flangedtop surface and collar remain constant for processing of different sizedindividual containers and for commonality with the assembly sleeve.

In one embodiment, the multiple prescription container comprises aplurality of individual containers. In the illustrative embodiment,container 321 adjacent to container 328 and are sealed with lid 326. Thelid 326 seals all the containers. The sequential connection betweencontainers provides a linear grouping of the individual containers.However, it should be noted that the quantity of containers in amultiple prescription assembly may vary as well as the interconnectionconfiguration of the containers, e.g. a circular, an elliptical,polyhedral, etc. In this illustrative embodiment, the empty and unsealedcontainers are made from a single piece of moldable material havingindentations 330, which may also be perforations or cuts, that separatescontainer 321 from the other container 328.

At least one of the containers is configured to receive a first tabletassociated with a first medication, and a second tablet associated witha second medication that is different from the first medication. The setof containers 334 are separated from one another by frangibleconnections 336 or perforations positioned within the flanged edge 324that is proximate to the adjacent container. The frangible connection336, which is between containers, allows the containers to “break-away”from the set of containers 334 in a sequential manner. Once the lids areattached and/or sealed to the top flanged surface 324, this sequentialconnection supports a linear configuration for sequential dispensing.

Each container may also comprise a collar 338 below the flanged edge 324that allows the containers to be stored in a stackable configuration.Each container may also comprise a bottom surface 340 with at least oneridge 342. The ridge is useful in minimizing tablet-to-tablet collisionsand avoiding medication sloughing off of a tablet due to collisions withother tablets. By limiting excessive movement of the tablets in each ofthe containers, the ridge or ridges on the bottom of the container(s)help preserve the integrity of the tablets within. The ridge mayprotrude outward from the bottom surface of the containers as shown inFIG. 13B, or in other embodiments, may be formed by an indentation ofthe bottom surface. The ridge(s) may be configured as a square,rectangle, circle, a plurality of parallel lines as well as othergeometric shapes.

The illustrative set of containers 334 comprises seven adjacentcontainers configured for sequential dispensing of the contents of eachcontainer. Sequential dispensing refers to individual containers being“dispensed one at a time,” which is different from being “cherry picked”from a grid of individual containers. The number of containers in a setof integrated containers may vary due to the prescription prescribed forthe user. While the illustrative embodiment describes seven containers,a set of containers may comprise at least two containers to about 20containers, and more preferably about 5 to about 14 containers. It isexpected that most of the containers will be of similar size for ease offilling the containers, but in certain embodiments varying containersizes may be needed. The set of containers 334 may be opaque but inpreferred embodiments, the moldable material comprises enough clarityfor the user to visualize the contents of the containers.

The illustrative lid 326 of container 321 comprises a printing surfacewhere unique prescription-specific information is displayed for eachcontainer. The information displayed on the printing surface mayinclude, but is not be limited to, the patient's name, the date and theday of the week the contained mixed dosage medications are to be taken,as well as the time of day that the tablets are to be taken. Themarkings on the containers inform the patient and/or caregiver the timein which the contents of the container are to be taken in the propersequence. In general, the lid stock comes from a roll and theappropriate amount of lidstock is released from the roll to accommodatethe designated number of containers to be sealed. For a thermoformedcontainer, using polypropylene for the material for the lid stock, anunsealed area of lid film is generally used to help in the peeling ofthe lid. The breakaway tab 332 on the illustrative container 321 givesthe user something to hold onto and is a useful feature to a containerthat is manufactured by injection molding with plastics likepolyethylene or styrene.

Referring to FIG. 14 there is shown an exploded isometric view of themultiple prescription container assembly 350 before slidably couplingthe set of sealed containers 334 to the dispensing sleeve 352, which isan illustrative secondary package. Recall, the sealed containers are theprimary package. The exploded view also shows a top tab 354 on the topsurface 356 of the sleeve which holds the end container 358 by catchingthe rectangular void made by one of the indentations 360. When the userpushes down the sleeve tabs 362, the set of sealed containers arereleased and the top tab 354 can be disengaged from the containers. Theend container 358 can be slid out of the dispensing sleeve 352 if thereare no other child protective features, and the top tab 354 latches onto the next indentation (not shown). The user then can break thefrangible connection 364 and remove the container. This two-step processof holding tabs 362 and pulling on the end of the sealed containers is a“child safety” feature. It shall be appreciated by those skilled in theart that the child safety feature may be removed to conform to a moresenior-friendly solution that is also described herein.

Additionally, there is shown a notch 363 that is configured to be fitinto an illustrative cavity that is a square-shaped perimeter 365 andreceives a notch similar to notch 363. The notch 363 permits twodispensing sleeves to “snap” together. The square shaped perimeter 365is located on near the edge of the dispensing sleeve 352 and has asquare cut and a lip.

Printed material 366 such as detailed label 160 in FIG. 5, may beattached to the top surface 356 of the dispensing sleeve 352. Additionalinformation about the prescription or other patient data can also beplaced on the dispensing sleeve 352. The dispensing sleeve 352 may alsocomprise a surface for printable indicia on the top surface 356, and theprintable indicia may include patient data as well as prescriptioninformation.

Referring to FIG. 15 there is shown an isometric view of the set ofsealed containers slidably coupled to another sleeve for sequentialdispensing. In this illustrative embodiment, the sealed multipleprescription containers are operatively coupled to the dispensing sleeve368. The dispensing sleeve 368 is similar to the dispensing sleeve 352in that both sleeves comprise grooves or slits 370 configured to allowthe flanged top surface 324 in FIG. 13 of each container to slide intothe respective dispensing sleeve. Additionally, both sleeves comprise athumb groove 372, which is configured for a human thumb or finger,allowing a patient or caregiver easy access to the sealed prescriptioncontainer. The thumb groove 372 also acts as a display window to allowthe patient to view the printed markings on the lid of each containers.The dispensing sleeve 368 also contains a printable area 374 largeenough to accommodate a detailed label with information about eachtablet in each of the containers such as the detailed label in FIG. 5.The dispensing sleeve 368 and 352 may be produced as one piece and isconfigured to lock onto another sleeve with a “snap and lock” meanscomprising at least one protruding section 376 that defines a cavity 378of the dispensing sleeve. The protruding section is configured toreceive a notch (not shown) that can interface directly with theprotruding section 376. The dispensing sleeve may be injection molded ormanufactured from plastics such as polypropylene and ABS.

Additionally, the particular sleeve 368 further comprises integral,mold-in release tabs 380 a and 380 b configured to allow the sealedcontainers to slide out of the dispensing sleeve 368 when pressure isapplied to release tabs 380 a and 380 b. The container 350 is thenremoved by breaking the perforation mark between the containers. Therelease tabs are configured to “catch” the next container 350 so thatone container is released at a time, thereby providing child resistance.

Referring to FIG. 16 there is shown an exploded view of an illustrativechild protective feature 390 for a multiple prescription containerassembly. The first end 392 of the dispensing sleeve 394 comprisesrelease tabs 396 a and 396 b configured on the sides of the sleeve. Therelease tabs 396 a and 396 b each comprise a molded loop 398 a and 398 bconfigured to hold the top flanged surface 400 of the end container 402in the dispensing sleeve 394. The molded loops 398 a and 398 b haveconcave sections 404 a and 404 b which contact the bottom side of thetop flanged surface 406. When the end container 402 is to be taken outof the dispensing sleeve, the downward pressure of the user's thumb onthe lid of container 402 in the thumb well pushes the concave section404 a and 404 b downward, releasing the top flanged surface from therelease tabs 396 a and 396 b, allowing container 402 to exit thedispensing sleeve 394. Other embodiments of the release tab(s) willreadily suggest themselves to those of ordinary skill in the art.

Referring to FIG. 17 there is shown an illustrative embodiment of aplurality of dispensing sleeves 410 that are configured to interfacewith at least one other sleeve having a plurality of sealed containers.The dispensing sleeves 410 are similar to dispensing sleeve 368described above. The first dispensing sleeve 412 is releasably coupledto dispensing sleeve 414, which in turn is releasably coupled todispensing sleeve 416. Each sleeve comprises a plurality of knobs orhooks on a first side of each sleeve and a plurality of correspondingshaped grooves or knob receptacles 418 on the second side of eachsleeve, which enables the sleeves to interlock. In this embodiment, eachdispensing sleeves 412, 414, and 416 are grouped together for dailyusage on a per week basis for a patient that needs to take medicationsthree times per day, in which the first sleeve 412 is for a prescribedmorning dosing, the second sleeve 414 is for a prescribed afternoondosing, and the third sleeve is for a prescribed evening dosing.

Referring to FIG. 18 there is shown illustrative notches of interlockingelements for the illustrative dispensing sleeve 352 shown in FIG. 14.The illustrative notches 363 are configured to be fit into a pluralityof square-shaped perimeters 365 that define a cavity. The notches 363and square shaped perimeters permit two dispensing sleeves 352 to fittogether. The square shaped perimeters 365 define a cavity that islocated adjacent to the edge of the dispensing sleeve 352. Additionallya small lip is shown that permits the notch to be locked into place.

Referring to FIG. 19 there is shown an illustrative top view of multiplesleeves coupled to one another and depicting the sequential dispensingof a container. In this illustrative example, the multiple prescriptioncontainer assembly is for patients that must take multiple medicationsmore than once a day. The multiple prescription container assembly 420comprises a plurality of thermoformed or molded sets of sealed container422 a, 422 b, and 422 c that are heat sealed with a laminated lid 424 a,424 b, and 424 c, respectively. Each container within the set ofcontainers 422 a, 422 b, and 422 c contains the required medicationsthat have been prescribed for a particular time. The containers areseparated by perforations as described above. In the illustrativeembodiment, each container contains printed markings 426 that identifythe medications contained therein, and may also indicate the patient'sname, and, most importantly for the purposes of this embodiment, the dayand the time of day that the medications are to be taken.

In the illustrative embodiment of FIG. 19, each container is dedicatedsolely to a particular time of day. In the illustrative example, the setof containers 422 a are taken in the morning, the set of containers 422b are taken at approximately noon, and the set of containers 422 c aretaken in the evening. Thus, it is possible to have a plurality ofcontainers for each day of the week so that each container has theproper dosage that is to be taken at a particular time of day. In thisillustrative embodiment, the patient is supplied with a complete set ofcontainers for a particular week and for a specific time of day.

Each individual container within each set of containers is to be takenat the correct, prescheduled time each day as marked 426 on eachcontainer. The multiple prescription container assembly 420 may beprovided to the patient or caregiver as three separate sets ofcontainers enclosed in three separate dispensing sleeves. The patient orcaregiver can interlock the three separate dispensing sleeves 428 a, 428b, and 428 c.

Referring to FIG. 20A there is shown a top view of a second illustrativemultiple prescription container. The illustrative rounded multipleprescription container 430 comprises a plurality of containers 432 thatare adjacent to one another. Each container is wedge shaped so that thetriangular surface area at the top of each container is greater than thetriangular well at the bottom of each container. The illustrativecontainer 432 is surrounded by a flanged edge 434. The dispensing sleeve436 surrounds the rounded multiple prescription container 430. A releasetab 438 on the sleeve 436 permits the rounded multiple prescriptioncontainer 430 to be rotated within the sleeve 436. The axis of rotationis defined by the well 440 at the center of the plurality of containers.A plurality of ridges 442 a, 442 b, 442 c, and 442 d on the sleeve 436hold cover, lidstock, or any other labels in place.

Referring to FIG. 20B there is shown a bottom view of the dispensingsleeve housing the rounded containers described in FIG. 20A. The bottomview shows the rounded multiple prescription containers 430 and theillustrative container 432 with the flanged ends 434 that interface withthe sleeve 436. The flanged ends 434 are slidably coupled to the sleeve436 via a plurality of lips such as lip 444. The bottom view also showsthe release tab 438 that permits the rounded containers to rotate aroundthe sleeve. Additionally, a rim 445 is shown that is the approximatedepth of the container. The rim 445 receives printed information aboutthe particular patient taking the prescribed medication. The rim 445also permits the stacking of a plurality of rounded multipleprescription assemblies.

Referring to FIG. 21A there is shown the dispensing sleeve housing therounded containers having a first lid and a cover. The first lid 446 isvisible and is associated with a particular multiple prescriptioncontainer and is adhesively coupled to the flanged edges of thecontainer. The cover 448 shields the lids and containers within eachsleeve. The combination of elements shown in FIG. 21A illustrates arounded multiple prescription assembly 450. In FIG. 21B, the first lid446 is removed, permitting access to the different medications withinthe container. There may be a variety of printed information on the lid446 and/or the cover 448.

Referring to FIG. 22, there is shown an alternative sleeve 452 that doesnot comprise a rim 445. The sleeve 452 is configured to receive therounded multiple prescription container 430, and the combination resultsin an alternative embodiment of the rounded multiple prescriptioncontainer assembly 454.

Both of the multiple prescription container assemblies 450 and 454 areconfigured for sequential dispensing. While the illustrative embodimentdescribes seven containers, a set of containers may comprise at leasttwo containers to about 20 containers, and more preferably about 5 toabout 14 containers. It is expected that most of the containers will beof similar size for ease of filling the containers. Additionally, theillustrative moldable material comprises enough clarity for the user tovisualize the contents of the containers.

Referring to FIGS. 23A and 23B, there are shown two separate perspectiveviews of a plurality of stacked rounded multiple prescription containerassemblies. The stacked rounded multiple prescription assemblies 456 arecomposed of a plurality of rounded multiple prescription containerassemblies 450. Each of the multiple prescription container assemblies450 are stacked on top of one another with the rim 445, which permitsthe stacking of rounded multiple prescription container assemblies.

Referring to FIG. 24A there is shown a perspective view of a thirdembodiment of a multiple prescription assembly that is a circularmultiple prescription container assembly. In this illustrativeembodiment, the circular multiple prescription container assembly 460comprises a set of multiple prescription containers 462 having flangededges similar to the flanged ends 434 (described in FIG. 20A), a lid464, and a cap 466. The lid 464 seals the multiple prescriptioncontainers 462. The cap 466 fits over the flanged ends (not shown) andhas a triangular opening 468 cut into the cap 466. The cap 466 isconfigured to snap fit with the sealed multiple prescription containers.The triangular opening 468 permits the patient and/or caregiver to viewwriting on the lid 464 and to have access to the lid 464. Referring toFIG. 24B, there is shown an illustrative embodiment in which the lid 470has printed information that identifies the patient, the date, and thetime that the prescribed medications are to be taken.

Additionally, the illustrative lid 464 is cut to permit a patient toremove the lid by placing a finger underneath a cut 472. A ridge 474permits the lid 464 to be more easily removed from the container. A moredetailed view of a patient or caregiver removing the lid 464 is providedin FIG. 25. Once the contents of a particular container have beenremoved, the cap 466 is rotated, and provides access to the next sealedcontainer.

Referring to FIG. 26 there is shown a flowchart of an illustrativemethod for dispensing tablets which utilizes a secondary package orsleeve for housing a primary package or a multiple prescriptioncontainer 500. This illustrative method for dispensing tablets comprisesproviding a set of integrated containers 502, the containers adjacent toone another and filling each container with at least one tabletpreviously specified for each container. The method also comprises theset of integrated containers having a flanged edge and at least onefrangible connection, e.g. perforated line, configured within theflanged edge between each of the plurality of containers 504. The methodmay also comprise providing a lidstock with a plurality of lids that maybe adjacent to one another in a linear arrangement 506. Theconfiguration of the lids is not limited to a linear arrangement and maybe configured in any manner as to be capable of sealing the set ofintegrated containers. The method further comprises providing afrangible connection between each of the plurality of lids 508. Thefrangible connection may be a thinned region of plastic that is easilybreakable, perforations in the film and the like.

The method comprises sealing the plurality of containers of the set ofintegrated containers with the corresponding plurality of lids 510 ofthe lidstock. The quantity of the containers in the tablet assembly isvariable, depending on the prescription of the patient. The number oflids will correspond to the number of containers utilized in the tabletassembly. A printable surface is provided on each of the plurality oflids 512 in which specific printing indicia or information is placed 514relating to the administration of the tablets held in the containersealed by the corresponding lid.

This method may also comprise providing a sleeve or secondary packagefor receiving the set of sealed containers 516 and placing the set ofsealed containers or primary package into the sleeve 518 or secondarypackage. The patient completes the process of dispensing the tablets byexpelling or manually moving one of the plurality of sealed containersout of the sleeve at the time printed on the corresponding lid 520. Oncethe container has been slid out from the secondary package, thecontainer is removed from the set of containers as well as the secondarypackage and/or sleeve by tearing the frangible connection between theexpelled container and the adjacent container remaining in the sleeve522. The patient can then gain access to the tablets in the expelledcontainer by removing the lid from the container 524. In somealternative embodiments, the method comprises providing extended tabs onthe lids, break-away tabs and/or providing chamfered edges on thecontainers to make removing the lid off of the container moreconvenient.

In yet another embodiment, the method further comprises providing achild safety release tab on a secondary sleeve as seen on the tabletassembly embodiment shown above, to prevent unwanted tampering of thetablets in the containers by children. In the embodiment describedabove, at the proper time for dispensing the tablets from a container,the patient holds the dispenser and manually actuates the release tabswhile simultaneously manually sliding the strip of containers in adirection “out of the dispenser.” When the perforations or frangibleconnection between the first two containers in the strip reach the outeredge of the dispenser the release tab resets, thus locking the stripfrom further sliding motion. The patient then tears off, at theperforations, the protruding container that contains the correctmedications for the stated time, pulls up on the extended corner of thelid, and opens the container by peeling back the lid, exposing themedications. The dispenser then is left with the correct printedmarkings showing in the thumb groove display window, ready for the nextdosage to be taken. Other embodiments of the methods of dispensingtablets comprise providing a “senior friendly” tablet assembly insteadof an assembly with a child safety tab for the convenience of patientswith limited dexterity shall be readily identified by those of ordinaryskill in the art.

Referring to FIG. 27 there is shown a flowchart of the productionfacility processes 600 used by an illustrative production facility tofill a prescription order. After receiving the prescription order in oneof the illustrative system and/or methods described above, the orderprocessing system 602 begins controlling the filling of the prescriptionorder. By way of example and not of limitation, the ordering processingsystem 602 interfaces with an online server, production server, or both,and receives data that relates to the type of medication or tablet, andthe type of multiple prescription container assembly that needs to befilled with the appropriate medications and/or tablets. Those withordinary skill in the art of manufacturing processes and roboticprocesses shall appreciate that the systems or methods for controllingproduction can be performed using a centralized control system or adistributed control system. For purposes of this patent, those withordinary skill in the art shall appreciate that there will even beinstances where a combination of centralized and distributed control areoptimal, and depend on design requirements and design expectations.

The order processing system 602 is in communication with a tabletmanagement system 608. The tablet management system 608 controls thetablets that fill the pill refill modules, which in turn fill up theappropriate multiple prescription containers. The tablet managementsystem 608 also communicates when a refill module is not properly beingfilled. The order processing system 602 also communicates with acontainer selection process 604. The container selection process 604 mayreceive an order for a particular container assembly from the userplacing the order, e.g. pharmacist, caregiver, patient, etc.Alternatively, the container selection process 604 may simply receive amultiple prescription order, and may have to select the appropriatecontainer for filling the order, e.g. less than 5 tablets require asmall container, 6-10 tablets require a mid-size container, and 10-20tablets require a large container.

After the container selection process 604, there is a containerinspection process 606 during which inspection of the appropriatecontainer is performed, to ensure that the appropriate container orsubstitute container has been selected. Additionally, the inspectionprocess 606 may include identifying whether the container is broken orhas some obstruction that may cause some difficulty to downstreamsystems and/or processes.

After the container inspection 606, the container filling process 610 isinitiated. In an illustrative example, the container filling process 610occurs by placing the selected container on a pallet or tote and movingthe pallet or tote on a conveyer, which moves the pallet to theappropriate filling location so that the appropriate tablets may fillthe container.

After filling the appropriate container with a plurality of medicationsand/or tablets, an inspection of the filled containers is performed atblock 612. The inspection may be conducted by using X-ray detection,near infrared detection, robotic detection at visual wavelengths, or anyother such technique that looks at color, shape, weight, density, orother such parameter to determine if the appropriate container has beenfilled with the correct prescription. In certain instances, a visualinspection by a pharmacist may also be performed.

After inspection, the method proceeds to the lid assembly process 614during which the lid is applied to the multiple prescription containerproducing the primary package. The sleeve is then applied at the sleeveassembly process in block 616. Alternatively, a cap may be placed on thesealed multiple prescription container, as described above. For purposesof this patent, the term “sleeved container” or secondary packageincludes a multiple prescription container having a cap, unlessotherwise indicated.

At block 618, the inspection of the sleeved sealed containers isconducted. This inspection at block 618 is performed after the multipleprescription container has been sealed. Note, the inspection at block612 was conducted before sealing. The need for the second inspectiondescribed in block 618 is in case a tablet or medication fell out of thecontainer or was mislabeled. Additionally, one of the tablets ormedications may also have been broken or otherwise compromised. Asstated above, the inspection may be conducted using a variety ofdifferent instruments including, but not limited to, robotic inspectionsat a visual wavelength, near IR, X-ray and any other detection meansthat can identify the type of tablets or medication in each container.

The method then proceeds to block 620 where the sleeved sealedcontainer(s) are combined with printed materials in the tote. Theprinted materials may include detailed labels as described in FIG. 5-7above. Additional materials may also be provided such as printedmaterials from pharmaceutical companies, medical providers, pharmacists,and other such entities. The printed materials are controlled by thetote assembly system 622. The printed materials may be generated at theproduction facility by a detailed labeling component or may be shippedto the production facility or any combination thereof.

After combining the printed materials and the sleeved sealed multipleprescription containers at a distribution element, the combination isshipped to a pharmacy, customer, or sent to a pick-up window asrepresented by block 624. As stated above, the customer may be apatient, a caregiver, a medical health professional, or any other suchperson

Referring to FIG. 28, there is shown an illustrative large-scaleproduction facility 628 that may occupy a warehouse. A plurality ofcontainer 630 are fed in a container feeding section by an operator 632that places the containers on a pallet or tote that are carried by aconveyor belt 634 around the facility. The operator 632 is charged withcontainer selection based on the information provided by the orderprocessing system. Additionally, the operator 632 is charged withperforming a visual inspection of the containers that are placed on thepallet or tote.

The powered conveyor then transports the tote having the emptycontainers to filler cells that have a particular medication or tablet.As the empty container passes under each filler cell 635, the tabletmanagement system determines whether a tablet is to be dispensed. Thecontainer filling process requires a variety of different filling cellsthat have to be refilled by illustrative operators 636 and 638. Theconveyor belts and filler cells are grouped into units for easieroperation and maintenance. In the illustrative embodiment, the poweredconveyers can travel to the appropriate filler cell in an efficientmanner that permits a particular pallet to bypass traveling along theperimeter of the conveyor assembly. For example, a particular pallet maybypass traveling along the length of a conveyor via a bypass 640 or 642.

The filled containers are then inspected to determine if the containerhas been properly filled. An operator 644 mans the inspection equipment.If order adjustments are needed, another operator 646 is charged withresolving any problems with one or more orders. The operator 644determines that the prescription has been properly filled after havingvisually inspected the multiple prescription or using other inspectionmeans are described herein. The appropriate lid is then placed on thecontainers. A lidstock sealer 648 seals the lid on the multipleprescription container. The sleeve is then selected at the sleeveassembly 650 and then applied. The operator 652 inspects the sleeve.Additionally, the operator 652 may be charged with combining the sleevedand sealed prescription container. A separate tote filling system 654 ordetailed labeling component generates the detailed label that iscombined with the sleeved and sealed multiple prescription containers.The conveyor 656 then transports the filled prescription order to apredetermined location so that the filled prescription order may beshipped to the pharmacy or customer.

Referring to FIG. 29 there is shown a perspective view of a small-scaleillustrative tabletop system that can be used to have a local pharmacistto fill the multiple prescription order. Although the warehouse sizeproduction facility is described above in FIG. 28, the tabletop systemis much smaller and can also be used to fill a multiple prescriptionorder. The illustrative table top system 660 receives a prescriptionorder at station 662. The appropriate containers 664 are selected andplaced on a conveyor (not shown) that are fed under fill cells 666. Atworkstation 668 the multiple prescription order is inspected by thepharmacist. A lid is generated at station 670 and sealed at station 672.The sleeve located at sleeve dispenser 674 is then applied. The sealedsleeve assembly is then inspected by the pharmacist. The detailed labelis generated by printer 676, and all the printed materials are combinedwith the sealed and sleeved multiple prescription container. The filledmultiple prescription may then be picked up at a “pick-up” window 678. Apharmacist at station can then explain to the customer about themultiple prescription packaging.

Referring to FIG. 30 there is shown a block diagram of an illustrativeorder processing system 602. The order processing system 602 isconfigured to control the filling of the prescription order. The orderprocessing system comprises a block 690 in which a multiple prescriptionorder is received. The multiple prescription order may be receivedelectronically or at a pharmacist's window. The system 602 then proceedsto check an inventory management system 692 and determines if theappropriate medication or tablets are available. At decision diamond694, a decision to order additional inventory is made if the inventoryof tablets or medication are running low. If inventories are runninglow, then at block 696 an order is placed for additional tabletinventory. However, if there is a satisfactory inventory, block 698communicates tablet type, size, quantity, frequency, packaging, and timefor taking the prescribed medications in the container selection process604 and the pill management system 608.

The order processing system 602 also accommodates receiving the tabletreceived in block 700, after having placed the order for additionalinventory in block 696. After receiving the ordered tablets, theinventory management system is updated as indicated in block 702. Theupdated inventory is then communicated to the pill management system608. The order processing system 602 is intended to make it moreefficient for a production facility and/or pharmacist to manage thetablet or medication inventory stored at the local facility. By creatinga system and method for automated ordering, the order processing systemcan provide a more efficient means for controlling inventory and therebymore efficiently control the filling of multiple prescription orders inmultiple prescription containers.

Referring to FIG. 31 there is shown a flowchart of an illustrativecontainer selection process 604. The container selection process 604 mayreceive an order for a particular container assembly from the userplacing the order, e.g. pharmacist, caregiver, patient, etc.Alternatively, the container selection process 604 may simply receive amultiple prescription order, and may have to select the appropriatecontainer for filling the order, e.g. less than 5 tablets require asmall container, 6-10 tablets require a mid-size container, and 10-20tablets require a large container. For either embodiment, the containerselection process 604 is initiated by receiving the appropriate tabletand/or container information. For example in block 704, tablet dataand/or container selection data is received that may comprise type oftablet or medication, size of the tablet or medication and the frequencywith which the tablet or medication needs to be consumed.

At block 706, the method may determine the type of container to usebased on the types of medications, size, and frequency. Thedetermination of the type of container may be performed withoutreceiving a user's request for a particular multiple prescriptioncontainer assembly as described above. The determination of containeravailability is then made at decision diamond 708. If a particularcontainer is not available, the method may return to block 706 to selectan alternative container. Issues associated with container availabilityare reported to the inventory management system 702. If the containersare available, the method proceeds to block 710 where the containers arede-nested and then placed on the appropriate pallet, at block 712. Themethod then proceeds to container inspection at block 606.

Referring to FIG. 32, there is shown an illustrative block diagram of anillustrative tablet management system 608. The illustrative tabletmanagement system 608 controls the tablets that fill the pill refillmodules described above. The tablet management system 608 alsocommunicates when a refill module is not properly being filled. Bulktablets are received at block 720 and then are fed into an illustrativehopper 722. The tablets are then separated by a separator 724 and arethen inspected 726 to determine if they have been placed in theappropriate refill module.

A tablet refill control system 728 manages the tablet being distributedto the appropriate refill module 730. Additionally, the tablet refillcontrol system receives tablet information 732, and this tabletinformation is stored on the tablet refill control system 728. Theadditional tablet inventory and is then communicated to the inventorymanagement system 702.

Referring to FIG. 33 there is shown an illustrative refill module 730.The illustrative refill module includes a hopper 734, separator 736, andsensor 738 that counts the tablets. The tablet refill control system 728communicates with the illustrative refill module 730. A plurality offeeding tubes 740 distributes one or more tablets to the illustrativecontainers 742. Broken tablets are collected in bottle 744 after beinginspected by sensor 738.

Referring to FIG. 34 there is shown a flowchart of an illustrativemultiple prescription container filling process 610. Recall, thecontainer filling process 610 occurs by placing the selected containeron a pallet or tote and moving the pallet or tote on a conveyer thatmoves the tote or pallet to the appropriate filling location so that theappropriate tablets may fill the container. In the illustrativeproduction facility described in FIG. 28 or the illustrative benchsystem in FIG. 29, an operational conveyor system is used to transportthe containers. Thus, in the illustrative examples an operation conveyersystem 750 is required. However, those skilled in the art shallappreciate that a conveyer system may not be required and may insteadrely on being gravity fed and placed into a particular containerconfigured to hold a plurality of medications or tablets.

The illustrative conveyer system receives a container pallet or tote atblock 752. The containers then stop at the appropriate refill module andare filled with tablets as described in block 754. Additionally, eachrefill module may comprise a sensor 738 that counts the number oftablets that are distributed by the refill module, and this count may becommunicated to the tablet refill control system 728. A containertracking system 756 tracks the location of each container so that theappropriate medications or tablets are filled by the appropriate fillingmodules. By way of example and not of limitation, the container trackingsystem 756 and the refill module are communicatively coupled to thetablet refill control system 728. After the containers are filled by theplurality of refill modules, the illustrative unsealed containers areinspected at block 612.

Referring to FIG. 35 there is shown an exploded perspective view of theillustrative tabletop system 660 that comprises order processing, pillmanagement, container selection, container inspection, containerfilling, lid generation and lid placement. As described above, theillustrative table top system 660 receives a prescription order atstation 662. The appropriate containers 664 are selected. By way ofexample and not of limitation, there are three different sizecontainers, e.g. small, medium, and large. The appropriate containersare selected by the pharmacist and are then placed on a conveyor 665,which feeds these multiple prescription containers to refill cells 666.The refill cells 666 are configured to deposit the appropriate tabletsand/or medications into the containers. At workstation 668 the filledmultiple prescription order are visually inspected by the pharmacist.Alternatively, there may be other means of inspecting the filled, yetunsealed, multiple prescription containers such as near infrared, X-ray,or such means for inspection. A lid is then generated at station 670.

Referring to FIG. 36 there is shown a flowchart with a more detailedflow of the inspection of filled multiple prescription containers thathave not been sealed. After filling the appropriate container with aplurality of medications and/or tablets, an inspection of the filledcontainers is performed at block 612. The inspection may be conducted bysimply providing an image to the pharmacist so that the pharmacist cansee if the appropriate tablet or medication is in each container, asrepresented by block 760. Additionally, precision weighing 762 may beused to make sure that the appropriate tablets or medications aredeposited in the appropriate multiple prescription container. Theinspection may also be conducted by using X-ray detection 764 or someother form of detecting such as near infrared detection, roboticdetection at visual wavelengths, or any other such technique that looksat color, shape, density, or other such parameter to determine if theappropriate container has been filled with the correct prescription. Ifa determination is made that the multiple prescription container has notbeen properly filled, then order adjustment 766 may be performed. Afterinspection, the process continues to lid assembly processing.

Referring to FIG. 37 there is shown a flowchart describing anillustrative lid assembly process 614. After inspection, the methodproceeds to the lid assembly process 614 during which the lid is appliedto the multiple prescription container. The lid assembly process 614comprises receiving blank lidstock 770, and placing the lidstock 772 ina position so that lidstock printing 774 can take place. To perform theprinting on the lidstock, a printing ink, toner, or ribbon is needed.

In the illustrative production facility 628, a pallet is used totransport the multiple prescription container to the appropriate lidassembly section, as described by block 778. In another embodiment 660,a pallet is not needed and the container simply travels along theconveyer. In yet another embodiment, a conveyer is not needed. However,regardless of the system and method used to transfer the filled multipleprescription container, a label needs to be applied. In thisillustrative embodiment, the appropriate label is generated as describedabove and placed on the filled multiple prescription container asrepresented by block 780. The method then proceeds to block 782 wherethe lidstock is heat sealed to the filled multiple prescriptioncontainer. The sleeve is then applied at the sleeve assembly process616.

Referring to FIG. 38 there is shown a flowchart of an illustrativesleeve assembly process 616 where the sleeve is applied to the sealedmultiple prescription container. By way of example and not oflimitation, the sealed multiple prescription container is communicatedusing a pallet, as represented by block 790. The sleeve is then combinedwith the sealed multiple prescription container at block 792.

The illustrative sleeve is generated by receiving a blank sleeve 794 andplacing the sleeve 796 in the appropriate position so that a printedlabel 798 can be placed on the sleeve. The printed label 798 may begenerated locally with printing ink, toner, or a ribbon 802. Thecomplete sleeve assembly 804 is then ready to be coupled to the sealedmultiple prescription container. As described above, a cap may also beplaced on the sealed multiple prescription container, instead of asleeve.

Refer to FIG. 39 there is shown a more detailed flowchart of theinspection of the sleeved containers conducted at block 618. Thisinspection at block 618 is performed after the multiple prescriptioncontainer has been sealed. The need for this second inspection is tomaintain a high degree of quality assurance and quality control (QA/QC).For example, a tablet or medication may have fallen out of the multipleprescription container during the lid sealing process described above.Additionally, the wrong printed information may have been placed on thelidstock, sleeve, or cap. In the illustrative production facilityembodiment, the sleeved sealed containers are received in block 806. Atblock 808, the printed information on the sleeve and/or lid is verified.If the label is incorrect then the label is rejected at decision diamond810, and a new label is placed on the sleeve 812. If the label isaccurate, then the method proceeds to block 620 where tote printedmaterials are combined with the sleeved multiple prescriptioncontainers.

Note, that other problems that may also be identified during theinspection process 618 include identifying tablets or medication beingbroken, compromised, or too many tablets being dispensed at oneparticular time. Additionally, the inspection may not be limited tosimply checking the label, and a more exhaustive secondary inspectionmay be conducted using a variety of different instruments including, butnot limited to, robotic inspections at a visual wavelength, near IR,X-ray, precision weighing and any other detection means that canidentify the type of tablets or medication in each container.

Referring to FIG. 40 there is shown an exploded perspective view of theillustrative tabletop system with the lid assembly process, sleeveassembly process, and inspection. The illustrative table top systemincludes generating a lid at station 670, and sealing the lid at station672. The container travels along conveyor 665. The sleeve located atsleeve dispenser 674 is then applied. The sleeve label is generated atsleeve label station 675. The pharmacist then proceeds to combine thesleeve and the sealed multiple prescription container. The pharmacistthen may perform a visual inspection. Printed materials are generated byprinter 676, and the printed materials are combined with the multipleprescription container assembly.

Referring to FIG. 41 there is shown a block diagram of the tote assemblysystem 622 that controls the printed materials. Prior to generating theprinted materials the illustrative tote assembly system performs anorder consolidation process 820. The order consolidation processcomprises accessing a database with patient prescriptions and orders andconsolidating various prescriptions or orders. For example, a patientmay request vitamin supplements with prescribed medications, and soorder consolidation may be necessary. Additionally, there may be twoseparate prescriptions from two different doctors that need to becombined. The method then proceeds to block 822 where thepatient-specific information is printed. This patient-specificinformation may include the detailed labels described above in FIG. 5-7above. At block 824, prescription literature that is provided by apharmaceutical company, medical provider, insurance company, or othersuch health professional may be included. These printed materials may begenerated at the production facility or may be shipped to the productionfacility or any combination thereof. In the illustrative tote assemblysystem, shipper packaging information may also be processed at block826, so that the illustrative production facility may accommodateshipping using a variety of different carriers, e.g. FedEx, UPS, USPS,DHL, etc. The appropriate shipping label is then generated at block 828.The method then proceeds to block 620 where the sleeved sealedcontainer(s) are combined with printed materials in the tote or pallet.

Referring to FIG. 42 there is shown a block diagram describing thecombining of the tote and sealed multiple prescription containers atblock 620. At block 830, the illustrative production facility conveysthe pallet or tote with the multiple prescription container assembly. Atblock 832, the multiple prescription container assembly is then combinedwith the printed materials generated by the tote assembly system 622including the detailed label. After the prescription order is filled, arecord of the filled prescription is recorded and communicated to theappropriate entities as represented by block 834. The multipleprescription container assembly and associated materials are combinedand then distributed or shipped to the pharmacy or customer as reflectedby block 624.

It is to be understood that the foregoing is a detailed description ofillustrative embodiments. The scope of the claims is not limited tothese specific embodiments. Various elements, details, execution of anymethods, and uses can differ from those just described, or be expandedon or implemented using technologies not yet commercially viable, andyet still be within the inventive scope of the present disclosure. Thescope of the invention is determined by the following claims and theirlegal equivalents.

What is claimed is:
 1. An ordering system that fills a prescriptionorder, the ordering system comprising: a Graphical User Interface (GUI)displayed on a client computer, the GUI receiving at least oneprescription order that is associated with a particular patient whereinthe at least one prescription order comprises at least two differentmedications; a transactional component displayed on the client computer,the transactional component charging for processing the prescriptionorder; a network communicatively coupled to the client computer; averified multiple prescription order that is communicated to aproduction facility, wherein the production facility includes aproduction server communicatively coupled to the network and theproduction server receives the verified multiple prescription order; anencryption component between the client computer and the productionserver; the production facility filling a plurality of multipleprescription containers, each multiple prescription container beingassociated with a prescribed time determined by the prescription order,and each multiple prescription container includes the differentmedications that are to be consumed at the prescribed time, wherein eachof the at least two different medications within the multipleprescription container are in a tablet form; the production facilityincluding an inventory management module that selects a size of theplurality of multiple prescription containers based upon a number ofmedications associated with the prescription order, manages medicationinventory and communicates a tablet type, a quantity and a time fortaking the medications to a tablet management system; the tabletmanagement system including a plurality of tablet refill modules,wherein each tablet refill module houses a particular medication and atleast two tablet refill modules fill each multiple prescriptioncontainer; an automated inspection module that inspects each multipleprescription container by analyzing a tablet shape to determine thateach container has been filled with medications according to theprescription order; the automated inspection includes an inspectionmodule that operates at visual wavelengths and analyzes a tablet colorand the tablet shape; a detailed labeling component generating adetailed label that provides a plurality of medical informationregarding the medications in the associated prescription container; anda distribution point that distributes each multiple prescriptioncontainer to a pharmacist or a consumer.
 2. The ordering system of claim1 further comprising configuring the GUI to receive an order from theparticular patient, and having the patient receive the plurality ofmultiple prescription containers.
 3. The ordering system of claim 1wherein the transactional component communicating with an insurancecompany server having the particular patient's insurance information. 4.The ordering system of claim 1 wherein the prescription order receivedfrom the GUI is communicated to a database communicatively coupled tothe production facility and the database stores the prescription orderso that a user may access a plurality of multiple prescription orders ata later time.
 5. The ordering system of claim 1 wherein the detailedlabel includes the name of the particular patient.
 6. The orderingsystem of claim 5 wherein the detailed label includes a picture of theparticular patient.
 7. The ordering system of claim 5 wherein thedetailed label includes a picture of each tablet.
 8. The ordering systemof claim 5 wherein the detailed label includes a drug interactionsection that identifies drug interactions associated with eachmedication.
 9. The ordering system of claim 1 further comprising anupdated medical information server communicatively coupled to aproduction facility server via the network, wherein the updated medicalinformation server includes updated information about the medications inthe production facility.
 10. The ordering system of claim 1, wherein theinventory management system is configured to indicate when themedication inventory is low.
 11. The ordering system of claim 1 furthercomprising a grouping of filled multiple prescription containers,wherein each grouping contains medications associated with a particulartime of day, and each container contains printed markings that indicatethe patient's name and the same time of day that the medications are tobe taken.
 12. The ordering system of claim 1 further comprising asecondary container configured to receive the plurality of filledmultiple prescription containers generated by the production facility,wherein the secondary container is configured to receive the detailedlabel.
 13. The ordering system of claim 1 wherein the detailed labelincludes the quantity of each tablet.
 14. The ordering system of claim 5wherein the detailed label includes a drug interaction section thatidentifies drug interactions associated with each medication being takenby the patient.
 15. A method for processing a multiple prescriptionorder that comprises a plurality of different medications, the methodcomprising: receiving, at a Graphical User Interface displayed on aclient computer, a multiple prescription order that is associated with aparticular patient, the multiple prescription order comprising at leasttwo different medications that are both to be consumed at a prescribedtime determined by the multiple prescription order; initiating atransaction displayed on a client computer that charges for filling themultiple prescription order; enabling the client to communicate with anetwork; generating a verified multiple prescription order that iscommunicated to a production facility that includes an inventorymanagement module, a tablet management system, and an automatedinspection module; determining that the medications for the prescriptionorder are available in the inventory management module; selecting a sizeof a plurality of multiple prescription containers based upon a numberof medications associated with the multiple prescription order;communicating tablet type, quantity, and time for taking the medicationsto the tablet management system; filling a the plurality of multipleprescription containers with the tablet management system that includesa plurality of tablet refill modules, wherein each tablet refill modulehouses a particular medication, and at least two tablet refill modulesfill each multiple prescription container, each multiple prescriptioncontainer being associated with a prescribed time determined by theprescription order, and each multiple prescription container comprisesat least two different medications that are in tablet form and are to beconsumed at the prescribed time; inspecting each multiple prescriptioncontainer with an automated inspection module that analyzes tablet shapeto determine that each container has been filled with medicationsaccording to the prescription order, wherein the automated inspectionmodule operates at visual wavelengths and analyzes a tablet color andthe tablet shape; generating a detailed label that includes medicalinformation regarding the medications; and receiving the multipleprescription containers in a secondary container that receives thedetailed label; and distributing each multiple prescription container toa pharmacist or a consumer.
 16. The method of claim 15 wherein thereceiving of the multiple prescription order includes receiving themultiple prescription order from a networked computer.
 17. The method ofclaim 15 wherein the receiving of the multiple prescription orderincludes receiving the multiple prescription order from a scanned order.18. The method of claim 15 wherein the receiving of the multipleprescription includes receiving the multiple prescription order from theparticular patient.
 19. The method of claim 15 wherein the image of thedifferent medications includes a color picture of each tablet.
 20. Themethod of claim 15 wherein the automated inspection includes aninspection module that operates at visual wavelengths and analyzes atablet color and the tablet shape.
 21. The method of claim 15 whereinthe detailed label includes a drug interaction section identifies druginteractions associated with each medication, wherein the druginteraction section on the detailed label.
 22. The method of claim 15further comprising an updated medical information server communicativelycoupled to a production facility server via a network, wherein theupdated medical information server includes updated information aboutthe medications in the production facility.
 23. The method of claim 15wherein the inventory management system indicates when the medicationinventory is low.
 24. The method of claim 15 further comprising agrouping of filled multiple prescription containers, wherein eachgrouping contains medications associated with a particular time of day,and each container contains printed markings that indicate the patient'sname and the same time of day that the medications are to be taken. 25.The method of claim 15 wherein the detailed label includes the quantityof each tablet.
 26. The method of claim 15 wherein the detailed labelincludes a drug interaction section that identifies drug interactionsassociated with each medication being taken by the patient.